Froedtert Community Hospital - New Berlin — Pricing
770 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 770 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Showing all 770 procedures
Procedures with negotiated rates only
These 770 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $198,596 – $636,255 · median $389,532 | 25 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $80,305 – $257,277 · median $157,512 | 25 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $150,416 – $481,897 · median $295,030 | 25 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $98,160 – $314,482 · median $192,534 | 25 plans |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $73,067 – $234,090 · median $143,316 | 25 plans |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $32,861 – $105,278 · median $64,454 | 25 plans |
| 007 | LUNG TRANSPLANT | $91,774 – $294,021 · median $180,008 | 25 plans |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $39,718 – $127,247 · median $77,904 | 25 plans |
| 010 | PANCREAS TRANSPLANT | $50,852 – $162,917 · median $99,742 | 25 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,651 – $123,830 · median $75,812 | 25 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,877 – $95,720 · median $58,602 | 25 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $23,395 – $65,428 · median $40,057 | 25 plans |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $85,167 – $272,854 · median $167,049 | 25 plans |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $42,022 – $134,628 · median $82,423 | 25 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $38,497 – $123,335 · median $75,509 | 25 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $306,022 – $980,422 · median $600,241 | 25 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $50,560 – $161,984 · median $99,171 | 25 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,764 – $178,653 · median $109,376 | 25 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $37,515 – $120,190 · median $73,584 | 25 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,517 – $72,140 · median $44,166 | 25 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,609 – $130,101 · median $79,651 | 25 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,722 – $88,816 · median $54,375 | 25 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $32,221 – $103,228 · median $63,199 | 25 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $24,914 – $70,591 · median $43,218 | 25 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $21,269 – $57,280 · median $35,068 | 25 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $42,579 – $136,412 · median $83,515 | 25 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $24,177 – $77,457 · median $47,421 | 25 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $20,805 – $49,840 · median $30,513 | 25 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $31,752 – $101,725 · median $62,279 | 25 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $20,714 – $48,382 · median $29,621 | 25 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $20,051 – $37,754 · median $23,114 | 25 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,430 – $87,880 · median $53,803 | 25 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $21,082 – $54,274 · median $33,228 | 25 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $20,447 – $44,109 · median $27,005 | 25 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,330 – $74,744 · median $45,760 | 25 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $19,993 – $36,840 · median $22,554 | 25 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $14,706 – $26,689 · median $19,360 | 25 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $27,363 – $87,665 · median $53,671 | 25 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $20,810 – $49,919 · median $30,562 | 25 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $20,142 – $39,226 · median $24,015 | 25 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $20,261 – $41,124 · median $25,177 | 25 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $12,250 – $22,232 · median $19,082 | 25 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $19,102 – $34,667 · median $21,224 | 25 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $12,755 – $23,149 · median $19,139 | 25 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,986 – $52,744 · median $32,291 | 25 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $16,208 – $29,415 · median $19,530 | 25 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $20,117 – $38,812 · median $23,762 | 25 plans |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $15,524 – $28,173 · median $19,452 | 25 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $11,507 – $20,883 · median $18,740 | 25 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $22,562 – $62,597 · median $38,324 | 25 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $20,184 – $39,895 · median $24,425 | 25 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $17,562 – $31,872 · median $19,683 | 25 plans |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $20,544 – $45,658 · median $27,953 | 25 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $12,639 – $22,938 · median $19,126 | 25 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $8,562 – $18,664 · median $13,944 | 25 plans |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $18,373 – $33,345 · median $20,415 | 25 plans |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $10,814 – $19,625 · median $17,611 | 25 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $9,993 – $18,826 · median $16,275 | 25 plans |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $20,053 – $37,798 · median $23,141 | 25 plans |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,835 – $23,294 · median $19,148 | 25 plans |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $9,460 – $18,765 · median $15,407 | 25 plans |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $19,968 – $36,424 · median $22,300 | 25 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $12,895 – $23,403 · median $19,155 | 25 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $20,411 – $43,535 · median $26,653 | 25 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $10,323 – $18,863 · median $16,813 | 25 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $20,259 – $41,094 · median $25,159 | 25 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $11,204 – $20,334 · median $18,247 | 25 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $20,933 – $51,892 · median $31,770 | 25 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $17,461 – $31,690 · median $19,672 | 25 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $11,957 – $21,700 · median $19,048 | 25 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $20,914 – $51,581 · median $31,579 | 25 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $16,297 – $29,577 · median $19,540 | 25 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $11,443 – $20,767 · median $18,636 | 25 plans |
| 088 | CONCUSSION WITH MCC | $16,911 – $30,691 · median $19,610 | 25 plans |
| 089 | CONCUSSION WITH CC | $13,743 – $24,943 · median $19,251 | 25 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $10,298 – $18,860 · median $16,772 | 25 plans |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $20,183 – $39,873 · median $24,411 | 25 plans |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $12,798 – $23,226 · median $19,144 | 25 plans |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $9,962 – $18,822 · median $16,224 | 25 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $24,941 – $79,904 · median $48,920 | 25 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $21,374 – $58,558 · median $35,851 | 25 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $21,374 – $58,558 · median $35,851 | 25 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $25,596 – $82,002 · median $50,204 | 25 plans |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $20,946 – $52,103 · median $31,899 | 25 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $17,044 – $30,932 · median $19,625 | 25 plans |
| 100 | SEIZURES WITH MCC | $20,439 – $43,973 · median $26,922 | 25 plans |
| 101 | SEIZURES WITHOUT MCC | $11,292 – $20,493 · median $18,390 | 25 plans |
| 102 | HEADACHES WITH MCC | $14,022 – $25,449 · median $19,282 | 25 plans |
| 103 | HEADACHES WITHOUT MCC | $10,462 – $18,987 · median $17,039 | 25 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $21,026 – $53,379 · median $32,680 | 25 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $16,926 – $30,719 · median $19,611 | 25 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $19,202 – $34,848 · median $21,335 | 25 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $20,256 – $41,051 · median $25,133 | 25 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $13,572 – $24,632 · median $19,231 | 25 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,553 – $26,412 · median $19,342 | 25 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $9,830 – $18,807 · median $16,010 | 25 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $9,990 – $18,826 · median $16,271 | 25 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,552 – $30,040 · median $19,569 | 25 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $9,605 – $18,782 · median $15,643 | 25 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $20,769 – $49,268 · median $30,163 | 25 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $12,701 – $23,051 · median $19,133 | 25 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $18,680 – $33,902 · median $20,755 | 25 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $11,086 – $20,120 · median $18,055 | 25 plans |
| 139 | SALIVARY GLAND PROCEDURES | $15,459 – $28,055 · median $19,445 | 25 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,227 – $96,839 · median $59,288 | 25 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,785 – $49,520 · median $30,317 | 25 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $19,956 – $36,245 · median $22,190 | 25 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $26,551 – $85,063 · median $52,078 | 25 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $20,150 – $39,344 · median $24,087 | 25 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $15,041 – $27,297 · median $19,398 | 25 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,695 – $48,073 · median $29,432 | 25 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $15,906 – $28,868 · median $19,496 | 25 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $9,972 – $18,823 · median $16,240 | 25 plans |
| 149 | DYSEQUILIBRIUM | $9,403 – $18,759 · median $15,313 | 25 plans |
| 150 | EPISTAXIS WITH MCC | $16,657 – $30,230 · median $19,581 | 25 plans |
| 151 | EPISTAXIS WITHOUT MCC | $9,182 – $18,734 · median $14,955 | 25 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $14,789 – $26,841 · median $19,369 | 25 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $9,235 – $18,740 · median $15,040 | 25 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $19,559 – $35,498 · median $21,733 | 25 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $11,465 – $20,808 · median $18,673 | 25 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,646 – $18,673 · median $14,080 | 25 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $20,127 – $38,978 · median $23,864 | 25 plans |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $11,382 – $20,656 · median $18,536 | 25 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $8,863 – $18,698 · median $14,435 | 25 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $31,761 – $101,755 · median $62,297 | 25 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $21,271 – $57,305 · median $35,084 | 25 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $20,407 – $43,460 · median $26,607 | 25 plans |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $26,488 – $84,861 · median $51,954 | 25 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $20,250 – $40,944 · median $25,067 | 25 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,094 – $31,023 · median $19,630 | 25 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $24,027 – $67,576 · median $41,372 | 25 plans |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $17,184 – $31,186 · median $19,641 | 25 plans |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $10,071 – $18,835 · median $16,401 | 25 plans |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $19,549 – $35,480 · median $21,722 | 25 plans |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $12,210 – $22,159 · median $19,077 | 25 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,445 – $18,764 · median $15,382 | 25 plans |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $20,197 – $40,095 · median $24,547 | 25 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $13,398 – $24,316 · median $19,212 | 25 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $9,430 – $18,762 · median $15,358 | 25 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $19,139 – $34,735 · median $21,266 | 25 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $13,312 – $24,159 · median $19,202 | 25 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,839 – $18,808 · median $16,024 | 25 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $19,497 – $35,384 · median $21,663 | 25 plans |
| 187 | PLEURAL EFFUSION WITH CC | $12,374 – $22,457 · median $19,096 | 25 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $8,972 – $18,710 · median $14,612 | 25 plans |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $15,455 – $28,049 · median $19,445 | 25 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $13,857 – $25,149 · median $19,264 | 25 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $10,546 – $19,139 · median $17,175 | 25 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $8,031 – $18,604 · median $13,080 | 25 plans |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $16,443 – $29,842 · median $19,557 | 25 plans |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $10,082 – $18,836 · median $16,419 | 25 plans |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $7,863 – $18,585 · median $12,805 | 25 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $20,368 – $42,847 · median $26,232 | 25 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $11,873 – $21,548 · median $19,039 | 25 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $8,960 – $18,709 · median $14,592 | 25 plans |
| 199 | PNEUMOTHORAX WITH MCC | $20,194 – $40,052 · median $24,521 | 25 plans |
| 200 | PNEUMOTHORAX WITH CC | $13,752 – $24,959 · median $19,252 | 25 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $8,946 – $18,707 · median $14,569 | 25 plans |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $12,150 – $22,050 · median $19,070 | 25 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,382 – $18,643 · median $13,651 | 25 plans |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $10,101 – $18,838 · median $16,450 | 25 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $20,289 – $41,571 · median $25,451 | 25 plans |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,773 – $21,367 · median $19,028 | 25 plans |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $45,601 – $146,093 · median $89,442 | 25 plans |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $22,506 – $62,406 · median $38,207 | 25 plans |
| 209 | COMPLEX AORTIC ARCH PROCEDURES | $80,212 – $256,982 · median $157,331 | 25 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,061 – $246,886 · median $151,150 | 25 plans |
| 213 | ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES | $40,443 – $129,569 · median $79,326 | 25 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $70,562 – $226,064 · median $138,402 | 25 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $69,327 – $222,109 · median $135,981 | 25 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $46,597 – $149,286 · median $91,397 | 25 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,597 – $149,286 · median $91,397 | 25 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $54,414 – $174,328 · median $106,728 | 25 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $37,792 – $121,076 · median $74,126 | 25 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $35,718 – $114,433 · median $70,059 | 25 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $35,061 – $112,326 · median $68,769 | 25 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,319 – $71,506 · median $43,778 | 25 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $59,740 – $191,392 · median $117,176 | 25 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $42,964 – $137,645 · median $84,270 | 25 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $54,179 – $173,577 · median $106,268 | 25 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,712 – $124,025 · median $75,932 | 25 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $41,589 – $133,241 · median $81,574 | 25 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,685 – $95,103 · median $58,224 | 25 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $34,878 – $111,742 · median $68,412 | 25 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $23,186 – $64,718 · median $39,622 | 25 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $17,319 – $31,431 · median $19,656 | 25 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $22,626 – $72,489 · median $44,380 | 25 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $20,714 – $48,380 · median $29,620 | 25 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $20,256 – $41,037 · median $25,124 | 25 plans |
| 245 | AICD GENERATOR PROCEDURES | $32,332 – $103,585 · median $63,417 | 25 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $20,787 – $49,551 · median $30,337 | 25 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $18,696 – $33,931 · median $20,774 | 25 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,720 – $79,198 · median $48,487 | 25 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $21,483 – $58,931 · median $36,079 | 25 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $20,219 – $40,452 · median $24,766 | 25 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $22,163 – $61,242 · median $37,494 | 25 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $20,100 – $38,549 · median $23,601 | 25 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $13,663 – $24,797 · median $19,242 | 25 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $22,267 – $71,338 · median $43,675 | 25 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $20,560 – $45,910 · median $28,107 | 25 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $23,051 – $73,852 · median $45,214 | 25 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $20,373 – $42,922 · median $26,278 | 25 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $20,004 – $37,005 · median $22,656 | 25 plans |
| 263 | VEIN LIGATION AND STRIPPING | $24,568 – $69,415 · median $42,498 | 25 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,674 – $75,845 · median $46,434 | 25 plans |
| 265 | AICD LEAD PROCEDURES | $25,641 – $82,148 · median $50,293 | 25 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $43,430 – $139,139 · median $85,185 | 25 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,738 – $108,089 · median $66,175 | 25 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $48,741 – $156,156 · median $95,603 | 25 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,928 – $95,884 · median $58,702 | 25 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,391 – $119,793 · median $73,341 | 25 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,202 – $80,742 · median $49,433 | 25 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $21,312 – $57,963 · median $35,487 | 25 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $29,236 – $93,665 · median $57,344 | 25 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $23,327 – $74,735 · median $45,755 | 25 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $50,531 – $161,889 · median $99,113 | 25 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $42,567 – $136,374 · median $83,492 | 25 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $32,730 – $104,858 · median $64,197 | 25 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $39,446 – $126,375 · median $77,370 | 25 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $25,557 – $81,880 · median $50,129 | 25 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $19,967 – $36,419 · median $22,297 | 25 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $11,498 – $20,867 · median $18,726 | 25 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $9,046 – $18,719 · median $14,732 | 25 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $20,501 – $44,972 · median $27,533 | 25 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $8,659 – $18,675 · median $14,103 | 25 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $7,492 – $18,543 · median $12,202 | 25 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $20,830 – $50,239 · median $30,758 | 25 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $13,387 – $24,296 · median $19,210 | 25 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $22,222 – $61,442 · median $37,616 | 25 plans |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $20,113 – $38,753 · median $23,726 | 25 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $11,631 – $21,108 · median $18,942 | 25 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $16,060 – $29,147 · median $19,513 | 25 plans |
| 292 | HEART FAILURE AND SHOCK WITH CC | $10,621 – $19,276 · median $17,298 | 25 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $7,081 – $18,496 · median $11,532 | 25 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $19,539 – $35,461 · median $21,710 | 25 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $7,931 – $18,592 · median $12,917 | 25 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $5,693 – $18,339 · median $9,272 | 25 plans |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $20,008 – $37,069 · median $22,695 | 25 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $13,354 – $24,237 · median $19,207 | 25 plans |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $9,003 – $18,714 · median $14,663 | 25 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $14,969 – $27,168 · median $19,390 | 25 plans |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $8,422 – $18,648 · median $13,716 | 25 plans |
| 304 | HYPERTENSION WITH MCC | $14,887 – $27,018 · median $19,380 | 25 plans |
| 305 | HYPERTENSION WITHOUT MCC | $9,446 – $18,764 · median $15,384 | 25 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $19,713 – $35,777 · median $21,904 | 25 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $11,424 – $20,733 · median $18,606 | 25 plans |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $15,062 – $27,336 · median $19,400 | 25 plans |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $9,204 – $18,736 · median $14,989 | 25 plans |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $7,082 – $18,496 · median $11,534 | 25 plans |
| 311 | ANGINA PECTORIS | $8,781 – $18,689 · median $14,301 | 25 plans |
| 312 | SYNCOPE AND COLLAPSE | $10,904 – $19,789 · median $17,758 | 25 plans |
| 313 | CHEST PAIN | $9,007 – $18,714 · median $14,669 | 25 plans |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $20,649 – $47,342 · median $28,984 | 25 plans |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $12,051 – $21,871 · median $19,059 | 25 plans |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,533 – $18,660 · median $13,897 | 25 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $47,385 – $151,810 · median $92,942 | 25 plans |
| 318 | PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE | $21,127 – $54,994 · median $33,669 | 25 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,627 – $101,326 · median $62,034 | 25 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,103 – $54,610 · median $33,434 | 25 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $22,320 – $61,773 · median $37,819 | 25 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,192 – $40,027 · median $24,506 | 25 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $30,667 – $98,249 · median $60,151 | 25 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $22,330 – $71,540 · median $43,799 | 25 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $22,751 – $72,889 · median $44,625 | 25 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,344 – $113,234 · median $69,325 | 25 plans |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $21,158 – $55,493 · median $33,974 | 25 plans |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $19,965 – $36,379 · median $22,272 | 25 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $32,574 – $104,359 · median $63,891 | 25 plans |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $21,091 – $54,426 · median $33,321 | 25 plans |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $20,079 – $38,209 · median $23,392 | 25 plans |
| 332 | RECTAL RESECTION WITH MCC | $25,659 – $82,204 · median $50,328 | 25 plans |
| 333 | RECTAL RESECTION WITH CC | $21,013 – $53,177 · median $32,557 | 25 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $20,015 – $37,187 · median $22,767 | 25 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $25,306 – $81,074 · median $49,636 | 25 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $20,682 – $47,876 · median $29,311 | 25 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $19,203 – $34,851 · median $21,337 | 25 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $21,398 – $58,640 · median $35,901 | 25 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $18,824 – $34,163 · median $20,915 | 25 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $14,839 – $26,931 · median $19,375 | 25 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $20,947 – $52,119 · median $31,909 | 25 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $16,373 – $29,715 · median $19,549 | 25 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $10,891 – $19,766 · median $17,738 | 25 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $21,226 – $56,576 · median $34,637 | 25 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $19,072 – $34,612 · median $21,191 | 25 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $14,609 – $26,514 · median $19,349 | 25 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $23,530 – $65,887 · median $40,338 | 25 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $20,078 – $38,197 · median $23,385 | 25 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $16,826 – $30,537 · median $19,600 | 25 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $31,130 – $99,734 · median $61,060 | 25 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $20,990 – $52,798 · median $32,324 | 25 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $17,488 – $31,738 · median $19,675 | 25 plans |
| 359 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC | $24,368 – $78,070 · median $47,797 | 25 plans |
| 360 | PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC | $21,116 – $54,814 · median $33,559 | 25 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $19,915 – $36,143 · median $22,127 | 25 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $12,513 – $22,709 · median $19,111 | 25 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $8,767 – $18,687 · median $14,278 | 25 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $20,207 – $40,256 · median $24,646 | 25 plans |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $12,773 – $23,181 · median $19,141 | 25 plans |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $9,100 – $18,725 · median $14,820 | 25 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $20,725 – $48,557 · median $29,728 | 25 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $15,132 – $27,463 · median $19,408 | 25 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $11,563 – $20,985 · median $18,832 | 25 plans |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $20,285 – $41,503 · median $25,409 | 25 plans |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $12,269 – $22,266 · median $19,084 | 25 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $7,886 – $18,587 · median $12,844 | 25 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $20,475 – $44,550 · median $27,275 | 25 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $13,555 – $24,600 · median $19,229 | 25 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $10,016 – $18,828 · median $16,311 | 25 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $17,273 – $31,347 · median $19,651 | 25 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $10,694 – $19,407 · median $17,416 | 25 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $19,795 – $35,925 · median $21,994 | 25 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $12,214 – $22,166 · median $19,077 | 25 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $8,523 – $18,659 · median $13,881 | 25 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $18,475 – $33,529 · median $20,528 | 25 plans |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $9,880 – $18,813 · median $16,091 | 25 plans |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $6,805 – $18,465 · median $11,083 | 25 plans |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $15,866 – $28,795 · median $19,491 | 25 plans |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $9,753 – $18,799 · median $15,884 | 25 plans |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $19,960 – $36,311 · median $22,230 | 25 plans |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $11,706 – $21,244 · median $19,020 | 25 plans |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,119 – $18,614 · median $13,223 | 25 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $21,088 – $54,374 · median $33,289 | 25 plans |
| 398 | APPENDIX PROCEDURES WITH CC | $18,935 – $34,365 · median $21,039 | 25 plans |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $14,320 – $25,989 · median $19,316 | 25 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,492 – $91,281 · median $55,885 | 25 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $38,768 – $124,202 · median $76,040 | 25 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,518 – $65,846 · median $40,313 | 25 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $20,840 – $50,394 · median $30,852 | 25 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,268 – $80,953 · median $49,562 | 25 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $20,780 – $49,433 · median $30,264 | 25 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $19,862 – $36,047 · median $22,069 | 25 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,409 – $74,998 · median $45,916 | 25 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $20,674 – $47,735 · median $29,225 | 25 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $20,047 – $37,700 · median $23,081 | 25 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,247 – $80,885 · median $49,520 | 25 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,623 – $46,922 · median $28,727 | 25 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $17,055 – $30,952 · median $19,626 | 25 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $21,076 – $54,181 · median $33,171 | 25 plans |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $20,091 – $38,406 · median $23,513 | 25 plans |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $17,086 – $31,009 · median $19,629 | 25 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,145 – $77,355 · median $47,359 | 25 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $20,156 – $39,448 · median $24,151 | 25 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $17,508 – $31,774 · median $19,677 | 25 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,431 – $94,290 · median $57,727 | 25 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $20,795 – $49,674 · median $30,412 | 25 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $18,769 – $34,063 · median $20,854 | 25 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $78,103 – $250,225 · median $153,195 | 25 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,156 – $163,891 · median $100,339 | 25 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $39,841 – $127,642 · median $78,146 | 25 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $63,848 – $204,554 · median $125,233 | 25 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,869 – $130,936 · median $80,163 | 25 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,483 – $44,686 · median $27,358 | 25 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $13,213 – $23,980 · median $19,191 | 25 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,913 – $18,704 · median $14,516 | 25 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $20,297 – $41,700 · median $25,530 | 25 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $14,150 – $25,680 · median $19,297 | 25 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $10,675 – $19,373 · median $17,385 | 25 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $20,004 – $37,012 · median $22,660 | 25 plans |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,523 – $19,099 · median $17,139 | 25 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,774 – $18,574 · median $12,660 | 25 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $20,237 – $40,747 · median $24,946 | 25 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $12,076 – $21,916 · median $19,062 | 25 plans |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $8,753 – $18,685 · median $14,256 | 25 plans |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $20,062 – $37,936 · median $23,226 | 25 plans |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $13,691 – $24,847 · median $19,245 | 25 plans |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $10,350 – $18,866 · median $16,855 | 25 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $47,350 – $151,699 · median $92,874 | 25 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $30,053 – $96,283 · median $58,947 | 25 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,769 – $121,003 · median $74,081 | 25 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,893 – $73,343 · median $44,903 | 25 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $59,552 – $190,791 · median $116,807 | 25 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $42,258 – $135,386 · median $82,887 | 25 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $29,570 – $94,735 · median $57,999 | 25 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $39,140 – $125,394 · median $76,770 | 25 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $21,914 – $60,393 · median $36,974 | 25 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $40,390 – $129,401 · median $79,223 | 25 plans |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $24,951 – $70,716 · median $43,294 | 25 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $20,278 – $41,405 · median $25,349 | 25 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,889 – $118,183 · median $72,355 | 25 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $24,992 – $80,068 · median $49,020 | 25 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,501 – $62,391 · median $38,197 | 25 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $24,406 – $68,866 · median $42,161 | 25 plans |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $20,428 – $43,794 · median $26,812 | 25 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $34,219 – $109,631 · median $67,119 | 25 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $23,825 – $66,888 · median $40,951 | 25 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $21,154 – $55,427 · median $33,934 | 25 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $30,422 – $97,466 · median $59,671 | 25 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $20,919 – $51,667 · median $31,632 | 25 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $14,764 – $26,795 · median $19,366 | 25 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $24,482 – $78,433 · median $48,019 | 25 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,179 – $55,834 · median $34,183 | 25 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $20,328 – $42,204 · median $25,839 | 25 plans |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $23,599 – $66,121 · median $40,481 | 25 plans |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $20,662 – $47,554 · median $29,114 | 25 plans |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $20,005 – $37,030 · median $22,671 | 25 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $22,661 – $62,933 · median $38,529 | 25 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $22,869 – $73,268 · median $44,857 | 25 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $20,657 – $47,476 · median $29,066 | 25 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $19,593 – $35,559 · median $21,770 | 25 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $20,201 – $40,161 · median $24,588 | 25 plans |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $13,971 – $25,356 · median $19,277 | 25 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $26,019 – $83,360 · median $51,035 | 25 plans |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $21,288 – $57,580 · median $35,252 | 25 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $20,538 – $45,556 · median $27,890 | 25 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,694 – $82,318 · median $50,397 | 25 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $20,250 – $40,956 · median $25,074 | 25 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $15,116 – $27,433 · median $19,406 | 25 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $24,297 – $68,493 · median $41,934 | 25 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $20,549 – $45,744 · median $28,006 | 25 plans |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $22,428 – $71,854 · median $43,991 | 25 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $20,171 – $39,689 · median $24,299 | 25 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $16,837 – $30,557 · median $19,601 | 25 plans |
| 503 | FOOT PROCEDURES WITH MCC | $22,789 – $63,369 · median $38,796 | 25 plans |
| 504 | FOOT PROCEDURES WITH CC | $20,343 – $42,438 · median $25,982 | 25 plans |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $20,235 – $40,704 · median $24,920 | 25 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $16,878 – $30,632 · median $19,606 | 25 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $20,254 – $41,013 · median $25,109 | 25 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $18,945 – $34,383 · median $21,050 | 25 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $24,322 – $68,577 · median $41,985 | 25 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,641 – $47,211 · median $28,904 | 25 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $20,040 – $37,584 · median $23,010 | 25 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $19,694 – $35,743 · median $21,883 | 25 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $12,789 – $23,210 · median $19,143 | 25 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,584 – $72,355 · median $44,298 | 25 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $20,639 – $47,181 · median $28,886 | 25 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $19,224 – $34,889 · median $21,360 | 25 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $26,485 – $84,852 · median $51,948 | 25 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $20,529 – $45,413 · median $27,803 | 25 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $18,689 – $33,918 · median $20,765 | 25 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $23,318 – $65,165 · median $39,896 | 25 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $20,695 – $48,080 · median $29,436 | 25 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $19,612 – $35,593 · median $21,791 | 25 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $10,084 – $18,836 · median $16,423 | 25 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $16,038 – $29,107 · median $19,511 | 25 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $10,103 – $18,838 · median $16,454 | 25 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $11,938 – $21,666 · median $19,046 | 25 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $9,011 – $18,715 · median $14,675 | 25 plans |
| 539 | OSTEOMYELITIS WITH MCC | $20,485 – $44,720 · median $27,379 | 25 plans |
| 540 | OSTEOMYELITIS WITH CC | $16,217 – $29,431 · median $19,531 | 25 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $9,850 – $18,810 · median $16,042 | 25 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $20,197 – $40,107 · median $24,554 | 25 plans |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $12,860 – $23,340 · median $19,151 | 25 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $9,440 – $18,763 · median $15,374 | 25 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $21,211 – $56,345 · median $34,496 | 25 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $14,429 – $26,187 · median $19,328 | 25 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,461 – $18,985 · median $17,037 | 25 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $20,430 – $43,839 · median $26,840 | 25 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $15,102 – $27,408 · median $19,405 | 25 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $10,935 – $19,846 · median $17,809 | 25 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $20,069 – $38,054 · median $23,298 | 25 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $12,026 – $21,825 · median $19,056 | 25 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $16,217 – $29,431 · median $19,531 | 25 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,385 – $18,870 · median $16,912 | 25 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $16,536 – $30,010 · median $19,567 | 25 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,391 – $18,871 · median $16,923 | 25 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $18,601 – $33,759 · median $20,668 | 25 plans |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $11,174 – $20,279 · median $18,198 | 25 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $20,337 – $42,341 · median $25,922 | 25 plans |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,088 – $25,567 · median $19,290 | 25 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $10,057 – $18,833 · median $16,379 | 25 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $17,824 – $32,349 · median $19,805 | 25 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $11,203 – $20,331 · median $18,245 | 25 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $19,310 – $35,046 · median $21,456 | 25 plans |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $12,190 – $22,123 · median $19,075 | 25 plans |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,374 – $18,756 · median $15,266 | 25 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $23,791 – $66,775 · median $40,881 | 25 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $20,088 – $38,358 · median $23,484 | 25 plans |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $14,340 – $26,026 · median $19,318 | 25 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $46,428 – $148,743 · median $91,064 | 25 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $24,601 – $78,815 · median $48,252 | 25 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $20,241 – $40,799 · median $24,978 | 25 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $34,733 – $111,277 · median $68,127 | 25 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $21,852 – $60,181 · median $36,845 | 25 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $19,971 – $36,472 · median $22,329 | 25 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $22,950 – $73,527 · median $45,015 | 25 plans |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $20,143 – $39,233 · median $24,019 | 25 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $18,053 – $32,764 · median $20,059 | 25 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $20,424 – $43,742 · median $26,780 | 25 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $20,138 – $39,151 · median $23,969 | 25 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $20,728 – $48,602 · median $29,756 | 25 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $20,428 – $43,798 · median $26,814 | 25 plans |
| 592 | SKIN ULCERS WITH MCC | $20,437 – $43,939 · median $26,901 | 25 plans |
| 593 | SKIN ULCERS WITH CC | $14,841 – $26,934 · median $19,375 | 25 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $10,844 – $19,680 · median $17,660 | 25 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $20,699 – $48,148 · median $29,478 | 25 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $13,542 – $24,577 · median $19,228 | 25 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $20,057 – $37,850 · median $23,173 | 25 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $14,153 – $25,685 · median $19,297 | 25 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,625 – $18,784 · median $15,676 | 25 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $13,030 – $23,648 · median $19,170 | 25 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,569 – $18,551 · median $12,326 | 25 plans |
| 602 | CELLULITIS WITH MCC | $17,780 – $32,269 · median $19,756 | 25 plans |
| 603 | CELLULITIS WITHOUT MCC | $10,895 – $19,773 · median $17,744 | 25 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $18,416 – $33,423 · median $20,462 | 25 plans |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $11,459 – $20,797 · median $18,663 | 25 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $18,930 – $34,356 · median $21,033 | 25 plans |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $11,339 – $20,579 · median $18,467 | 25 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $20,800 – $49,763 · median $30,466 | 25 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $17,505 – $31,770 · median $19,677 | 25 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,714 – $79,178 · median $48,475 | 25 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,345 – $42,463 · median $25,997 | 25 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $17,743 – $32,201 · median $19,714 | 25 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $23,433 – $65,556 · median $40,135 | 25 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $19,962 – $36,333 · median $22,244 | 25 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $18,870 – $34,247 · median $20,967 | 25 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $25,223 – $80,808 · median $49,473 | 25 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,236 – $40,729 · median $24,935 | 25 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,661 – $28,423 · median $19,468 | 25 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $24,319 – $68,568 · median $41,979 | 25 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $18,757 – $34,042 · median $20,842 | 25 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $16,617 – $30,158 · median $19,576 | 25 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $26,411 – $84,613 · median $51,803 | 25 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,782 – $49,467 · median $30,285 | 25 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $18,258 – $33,136 · median $20,287 | 25 plans |
| 637 | DIABETES WITH MCC | $17,973 – $32,619 · median $19,970 | 25 plans |
| 638 | DIABETES WITH CC | $11,211 – $20,347 · median $18,259 | 25 plans |
| 639 | DIABETES WITHOUT CC/MCC | $7,771 – $18,574 · median $12,656 | 25 plans |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $16,708 – $30,323 · median $19,587 | 25 plans |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $9,735 – $18,797 · median $15,855 | 25 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $17,790 – $32,287 · median $19,767 | 25 plans |
| 643 | ENDOCRINE DISORDERS WITH MCC | $20,027 – $37,373 · median $22,881 | 25 plans |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,823 – $23,272 · median $19,146 | 25 plans |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $9,611 – $18,783 · median $15,653 | 25 plans |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $33,317 – $106,741 · median $65,349 | 25 plans |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $26,262 – $84,136 · median $51,511 | 25 plans |
| 652 | KIDNEY TRANSPLANT | $22,886 – $73,323 · median $44,890 | 25 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $36,825 – $117,979 · median $72,230 | 25 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $22,844 – $63,555 · median $38,910 | 25 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $20,694 – $48,055 · median $29,421 | 25 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $22,563 – $72,285 · median $44,255 | 25 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $20,287 – $41,548 · median $25,437 | 25 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $19,413 – $35,232 · median $21,570 | 25 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $21,295 – $57,689 · median $35,319 | 25 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $16,534 – $30,008 · median $19,567 | 25 plans |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $12,953 – $23,508 · median $19,161 | 25 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $24,595 – $69,508 · median $42,555 | 25 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $19,018 – $34,515 · median $21,131 | 25 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $13,097 – $23,769 · median $19,178 | 25 plans |
| 665 | PROSTATECTOMY WITH MCC | $22,119 – $70,864 · median $43,385 | 25 plans |
| 666 | PROSTATECTOMY WITH CC | $20,173 – $39,716 · median $24,315 | 25 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $13,839 – $25,115 · median $19,262 | 25 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,650 – $66,296 · median $40,588 | 25 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $19,416 – $35,237 · median $21,573 | 25 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $12,226 – $22,189 · median $19,079 | 25 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $20,238 – $40,754 · median $24,951 | 25 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $13,505 – $24,509 · median $19,224 | 25 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $29,775 – $95,393 · median $58,402 | 25 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $21,008 – $53,096 · median $32,507 | 25 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $20,020 – $37,266 · median $22,815 | 25 plans |
| 682 | RENAL FAILURE WITH MCC | $18,527 – $33,625 · median $20,586 | 25 plans |
| 683 | RENAL FAILURE WITH CC | $10,956 – $19,884 · median $17,844 | 25 plans |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $7,510 – $18,545 · median $12,231 | 25 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $20,250 – $40,951 · median $25,071 | 25 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $13,108 – $23,789 · median $19,179 | 25 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $9,887 – $18,814 · median $16,102 | 25 plans |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $14,515 – $26,343 · median $19,338 | 25 plans |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,127 – $18,841 · median $16,493 | 25 plans |
| 693 | URINARY STONES WITH MCC | $16,820 – $30,526 · median $19,599 | 25 plans |
| 694 | URINARY STONES WITHOUT MCC | $9,779 – $18,802 · median $15,926 | 25 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $14,309 – $25,969 · median $19,315 | 25 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $8,619 – $18,670 · median $14,038 | 25 plans |
| 697 | URETHRAL STRICTURE | $13,483 – $24,470 · median $19,221 | 25 plans |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $20,039 – $37,562 · median $22,996 | 25 plans |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $12,698 – $23,045 · median $19,132 | 25 plans |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $8,631 – $18,672 · median $14,056 | 25 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $20,529 – $45,415 · median $27,804 | 25 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $19,193 – $34,832 · median $21,325 | 25 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $20,992 – $52,834 · median $32,347 | 25 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $17,529 – $31,813 · median $19,680 | 25 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $20,647 – $47,311 · median $28,965 | 25 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $13,757 – $24,968 · median $19,252 | 25 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $18,808 – $34,133 · median $20,897 | 25 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $13,228 – $24,007 · median $19,192 | 25 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $20,865 – $50,796 · median $31,098 | 25 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $18,402 – $33,398 · median $20,447 | 25 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $20,373 – $42,922 · median $26,278 | 25 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $16,802 – $30,494 · median $19,597 | 25 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $20,259 – $41,087 · median $25,155 | 25 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $14,295 – $25,944 · median $19,313 | 25 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,203 – $18,623 · median $13,359 | 25 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $14,639 – $26,568 · median $19,352 | 25 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $9,032 – $18,717 · median $14,710 | 25 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $18,551 – $33,668 · median $20,612 | 25 plans |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,148 – $18,843 · median $16,527 | 25 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $13,244 – $24,037 · median $19,194 | 25 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,407 – $18,646 · median $13,691 | 25 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $20,713 – $48,360 · median $29,607 | 25 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $16,832 – $30,548 · median $19,601 | 25 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $25,331 – $81,155 · median $49,686 | 25 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $20,614 – $46,784 · median $28,642 | 25 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $18,371 – $33,341 · median $20,412 | 25 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $25,390 – $81,344 · median $49,801 | 25 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $20,259 – $41,085 · median $25,153 | 25 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $17,841 – $32,378 · median $19,823 | 25 plans |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $20,294 – $41,657 · median $25,504 | 25 plans |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $15,521 – $28,169 · median $19,452 | 25 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $20,598 – $46,523 · median $28,482 | 25 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $14,230 – $25,826 · median $19,306 | 25 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $20,156 – $39,439 · median $24,146 | 25 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $10,755 – $19,519 · median $17,516 | 25 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $17,355 – $31,497 · median $19,660 | 25 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $21,333 – $58,295 · median $35,690 | 25 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,462 – $33,507 · median $20,514 | 25 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $20,304 – $41,814 · median $25,600 | 25 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,608 – $24,697 · median $19,235 | 25 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $12,016 – $21,807 · median $19,055 | 25 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $17,913 – $32,510 · median $19,903 | 25 plans |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $12,247 – $22,227 · median $19,081 | 25 plans |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $8,302 – $18,634 · median $13,520 | 25 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $12,604 – $22,874 · median $19,122 | 25 plans |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $7,137 – $18,502 · median $11,623 | 25 plans |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $4,822 – $21,833 · median $8,445 | 25 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $20,089 – $38,365 · median $23,488 | 25 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $12,544 – $22,765 · median $19,115 | 25 plans |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $8,190 – $18,622 · median $13,339 | 25 plans |
| 779 | ABORTION WITHOUT D&C | $10,525 – $19,101 · median $17,141 | 25 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $7,400 – $50,020 · median $12,961 | 25 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $7,400 – $21,598 · median $12,961 | 25 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $7,400 – $19,514 · median $12,961 | 25 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $7,400 – $33,607 · median $12,961 | 25 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $7,400 – $22,754 · median $12,961 | 25 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,400 – $19,535 · median $12,961 | 25 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $4,822 – $23,776 · median $8,445 | 25 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $4,822 – $20,382 · median $8,445 | 25 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $4,822 – $19,500 · median $8,445 | 25 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $32,095 – $102,824 · median $62,952 | 25 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $22,912 – $63,785 · median $39,051 | 25 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $20,399 – $43,340 · median $26,534 | 25 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,234 – $90,455 · median $55,379 | 25 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $20,328 – $42,204 · median $25,839 | 25 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $16,964 – $30,787 · median $19,616 | 25 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $4,822 – $21,988 · median $8,445 | 25 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $4,822 – $18,762 · median $8,445 | 25 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $4,822 – $18,649 · median $8,445 | 25 plans |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $20,823 – $50,128 · median $30,690 | 25 plans |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $15,836 – $28,741 · median $19,488 | 25 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $13,093 – $23,762 · median $19,177 | 25 plans |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,568 – $31,883 · median $19,684 | 25 plans |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $11,487 – $20,847 · median $18,707 | 25 plans |
| 813 | COAGULATION DISORDERS | $19,082 – $34,630 · median $21,202 | 25 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $20,708 – $48,285 · median $29,561 | 25 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,685 – $23,022 · median $19,131 | 25 plans |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $7,906 – $18,589 · median $12,876 | 25 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $20,927 – $51,801 · median $31,714 | 25 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $14,502 – $26,318 · median $19,337 | 25 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,757 – $19,523 · median $17,520 | 25 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,562 – $133,154 · median $81,521 | 25 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $20,867 – $50,825 · median $31,117 | 25 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $15,062 – $27,336 · median $19,400 | 25 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $32,491 – $104,093 · median $63,729 | 25 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $20,905 – $51,438 · median $31,492 | 25 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $16,881 – $30,637 · median $19,606 | 25 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $33,150 – $106,205 · median $65,021 | 25 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $20,969 – $52,473 · median $32,126 | 25 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $20,109 – $38,683 · median $23,683 | 25 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $22,394 – $71,745 · median $43,924 | 25 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $18,828 – $34,170 · median $20,920 | 25 plans |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $15,043 – $27,302 · median $19,398 | 25 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $9,027 – $18,716 · median $14,702 | 25 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $6,541 – $18,435 · median $10,654 | 25 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $38,905 – $124,643 · median $76,310 | 25 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $20,650 – $47,356 · median $28,993 | 25 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $15,256 – $27,688 · median $19,422 | 25 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,046 – $109,077 · median $66,780 | 25 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $20,652 – $47,392 · median $29,015 | 25 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $18,063 – $32,782 · median $20,070 | 25 plans |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $22,925 – $73,445 · median $44,965 | 25 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $20,006 – $37,039 · median $22,676 | 25 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $12,640 – $22,940 · median $19,126 | 25 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $20,521 – $45,290 · median $27,728 | 25 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $15,230 – $27,640 · median $19,419 | 25 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $10,654 – $19,335 · median $17,351 | 25 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $21,463 – $58,860 · median $36,036 | 25 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $16,366 – $29,701 · median $19,548 | 25 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $10,626 – $19,285 · median $17,306 | 25 plans |
| 849 | RADIOTHERAPY | $22,244 – $61,516 · median $37,662 | 25 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $61,367 – $196,605 · median $120,367 | 25 plans |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $34,998 – $112,126 · median $68,647 | 25 plans |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $20,526 – $45,365 · median $27,774 | 25 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $18,730 – $33,992 · median $20,811 | 25 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $32,235 – $103,274 · median $63,227 | 25 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $20,729 – $48,621 · median $29,767 | 25 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $17,425 – $31,624 · median $19,668 | 25 plans |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $20,278 – $41,405 · median $25,349 | 25 plans |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $12,484 – $22,656 · median $19,108 | 25 plans |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $11,105 – $20,154 · median $18,086 | 25 plans |
| 865 | VIRAL ILLNESS WITH MCC | $18,744 – $34,017 · median $20,826 | 25 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $10,879 – $19,743 · median $17,717 | 25 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $20,660 – $47,524 · median $29,095 | 25 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $12,899 – $23,410 · median $19,155 | 25 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $9,129 – $18,728 · median $14,867 | 25 plans |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $48,982 – $156,926 · median $96,074 | 25 plans |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $20,447 – $44,103 · median $27,001 | 25 plans |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $12,801 – $23,233 · median $19,144 | 25 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $27,389 – $87,749 · median $53,722 | 25 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $12,012 – $21,800 · median $19,055 | 25 plans |
| 881 | DEPRESSIVE NEUROSES | $11,771 – $21,362 · median $19,027 | 25 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $13,433 – $24,380 · median $19,216 | 25 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $20,481 – $44,643 · median $27,332 | 25 plans |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $19,974 – $36,528 · median $22,364 | 25 plans |
| 885 | PSYCHOSES | $17,474 – $31,713 · median $19,673 | 25 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $20,635 – $47,118 · median $28,847 | 25 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $13,397 – $24,314 · median $19,212 | 25 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $7,717 – $18,568 · median $12,569 | 25 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $17,709 – $32,140 · median $19,700 | 25 plans |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $20,167 – $39,621 · median $24,257 | 25 plans |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $11,044 – $20,043 · median $17,986 | 25 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $29,740 – $95,280 · median $58,333 | 25 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $20,407 – $43,467 · median $26,612 | 25 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $14,632 – $26,555 · median $19,351 | 25 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $26,030 – $83,394 · median $51,056 | 25 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $18,557 – $33,679 · median $20,619 | 25 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $20,478 – $44,597 · median $27,304 | 25 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $27,208 – $87,167 · median $53,366 | 25 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $20,522 – $45,299 · median $27,733 | 25 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $16,422 – $29,804 · median $19,554 | 25 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $20,010 – $37,112 · median $22,721 | 25 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $11,078 – $20,104 · median $18,041 | 25 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $20,077 – $38,179 · median $23,374 | 25 plans |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,335 – $18,638 · median $13,575 | 25 plans |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $19,621 – $35,609 · median $21,801 | 25 plans |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $10,722 – $19,460 · median $17,463 | 25 plans |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $20,289 – $41,566 · median $25,448 | 25 plans |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $12,539 – $22,756 · median $19,114 | 25 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $8,612 – $18,669 · median $14,025 | 25 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $20,173 – $39,718 · median $24,317 | 25 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $12,731 – $23,106 · median $19,136 | 25 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $151,304 – $484,742 · median $296,772 | 25 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $50,830 – $162,849 · median $99,701 | 25 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,825 – $73,125 · median $44,769 | 25 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $27,597 – $88,414 · median $54,129 | 25 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $21,472 – $50,189 · median $30,727 | 25 plans |
| 935 | NON-EXTENSIVE BURNS | $21,365 – $46,770 · median $28,634 | 25 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $25,714 – $82,381 · median $50,436 | 25 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,006 – $53,057 · median $32,483 | 25 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $20,568 – $46,037 · median $28,185 | 25 plans |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $15,880 – $28,820 · median $19,493 | 25 plans |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $10,014 – $18,828 · median $16,309 | 25 plans |
| 949 | AFTERCARE WITH CC/MCC | $14,883 – $27,011 · median $19,380 | 25 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,853 – $18,583 · median $12,789 | 25 plans |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,956 – $18,482 · median $11,328 | 25 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $47,701 – $152,823 · median $93,562 | 25 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $26,667 – $85,435 · median $52,306 | 25 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $54,000 – $173,002 · median $105,917 | 25 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,862 – $95,672 · median $58,573 | 25 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $23,811 – $66,843 · median $40,923 | 25 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $22,407 – $62,068 · median $38,000 | 25 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $19,173 – $34,796 · median $21,303 | 25 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $11,766 – $21,353 · median $19,027 | 25 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $43,380 – $138,978 · median $85,086 | 25 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $21,763 – $59,880 · median $36,660 | 25 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $23,423 – $65,524 · median $40,115 | 25 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $16,200 – $29,402 · median $19,529 | 25 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $11,293 – $20,495 · median $18,392 | 25 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $16,234 – $29,463 · median $19,533 | 25 plans |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $33,249 – $106,523 · median $65,216 | 25 plans |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $21,178 – $55,818 · median $34,173 | 25 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $20,123 – $38,915 · median $23,825 | 25 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $24,296 – $77,838 · median $47,655 | 25 plans |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $20,023 – $37,316 · median $22,846 | 25 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,002 – $27,227 · median $19,393 | 25 plans |
| 945 | REHABILITATION WITH CC/MCC | $19,373 – $35,159 · median $21,251 | 23 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $14,346 – $26,037 · median $19,319 | 23 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $20,248 – $36,718 · median $20,248 | 11 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $42,120 – $121,093 · median $42,120 | 11 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $28,765 – $82,698 · median $28,765 | 11 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $21,165 – $49,900 · median $21,165 | 11 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $29,549 – $84,951 · median $29,549 | 11 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $19,786 – $30,070 · median $19,786 | 11 plans |
| 795 | NORMAL NEWBORN | $4,071 – $17,977 · median $17,977 | 11 plans |
No procedures match that keyword.